Provider Demographics
NPI:1285804344
Name:AFFILIATED ORTHOPAEDIC SPECIALISTS, P.A.
Entity type:Organization
Organization Name:AFFILIATED ORTHOPAEDIC SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-422-1222
Mailing Address - Street 1:2186 ROUTE 27
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1137
Mailing Address - Country:US
Mailing Address - Phone:732-422-1222
Mailing Address - Fax:732-422-3636
Practice Address - Street 1:2186 ROUTE 27
Practice Address - Street 2:SUITE 1-A
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1137
Practice Address - Country:US
Practice Address - Phone:732-422-1222
Practice Address - Fax:732-422-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA050425207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ012822Medicare PIN